NEW NICE GUIDANCE PUBLISHED - Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management (NG206)

NICE ME/CFS guideline outlines steps for better diagnosis and management

Chronic Fatigue Syndrome

It is estimated that there are over 250,000 people in England and Wales with ME/CFS, with about 2.4 times as many women affected as men. The new NICE guideline covers every aspect of ME/CFS in children, young people and adults from its identification and assessment before and after diagnosis to its management, monitoring and review.

The new guideline emphasises the need to raise awareness that ME/CFS:

  • is a complex, chronic medical condition affecting multiple body systems and its pathophysiology is still being investigated
  • affects everyone differently and its impact varies widely – for some people symptoms still allow them to carry out some activities, whereas for others they cause substantial incapacity
  • is a fluctuating condition in which a person's symptoms can change unpredictably in nature and severity over a day, week or longer
  • can affect different aspects of the lives of both people with ME/CFS and their families and carers, including activities of daily living, family life, social life, emotional wellbeing, work and education.

The guideline encourages individualised support agreed through a collaborative approach.

Read NICE publication statement 

The full guideline and supporting documents can be found on the NICE website

The committee members involved in this guideline have worked particularly hard to ensure care becomes more empathetic and focused on the individual’s needs.

Baroness Finlay, Vice-chair of the Guideline Committee


If you have a special interest or expertise in this area, and would like to write a short review for APCP about this guidance or present a webinar to explain and discuss the recommendations and how they apply within paediatric physiotherapy, please contact







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